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Additional Information – Form 1023Body of Christ Community Clinic, Inc27-0645782
Part IV – Narrative Description of ActivitiesThe Body of Christ Community Clinic (BOCCC) will provide personalized, quality healthservices to the medically underserved of the greater Belton, Texas area. The Clinic willserve adults and children of all ages who have no health insurance or inadequate healthinsurance (such as catastrophic high deductible not assisting with clinical care) andwhose income is at or below 185 percent of Federal Poverty Level, and will not provideservices to persons who are currently on Medicaid, Medicare or other governmenthealth programs. The Clinic will rent space from a local non-profit, Helping Hands. Atthis time, volunteers are renovating the space to accommodate the medical clinic.Opening date is expected to be in January 2010.The BOCCC will have three components:
Medical care – acute and chronic. In additional to medical exams, this willinclude various tests such as strep and pregnancy; referrals for X-rays anddiagnostic testing; and medical referrals for patients needing care in specialtyareas.
Dental care – cleaning, extractions and sealants. The Clinic will have two dentalrooms.
Social services – assistance in applying for government programs;pharmaceutical assistance programs; referrals to appropriate programs.Patients will provide documentation of their income and residency. The Clinic willaccept patients who meet the above criteria without discrimination as to race, color,religion or national origin. Proof of citizenship is not required. Persons seekingtreatment who do not meet required criteria will be referred to other medical programs.The BOCCC will be staffed by volunteer doctors, nurses, other medical personnel, andnon-medical community volunteers from Belton and surrounding communities. A paidpart-time (25 hours per week) Executive Director will oversee day to day operations andwork with the Board of Directors and the volunteer “Counsel of Servant Leaders”composed of health care, administrative, social work, fund raising and volunteer coordination teams. Initially, the Clinic will be open one evening a week with operatinghours anticipated to expand in the second year of operation.Partner churches will commit a certain percentage of their offerings and volunteers tosupport the BOCC. These churches will be represented on the governing Board of Community Representatives which is projected to have its first board meeting inOctober 2009. In addition, funding will come from individuals, businesses,organizations and churches. Foundation grants may also be solicited as the Clinicgrows. Patient donations will be accepted but not required to receive services.Part V – Compensation, etc.
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Additional Information – Form 1023Body of Christ Community Clinic, Inc27-0645782
#3a - Each of the three persons listed in Item 1A has extensive business and/or healthcare experience. They are an entirely volunteer group and form the core of the muchlarger governing board that will become operational by the projected date of October 2009.
(1)
Craig Pearson is a retired U.S. Army Colonel with 26 years time in service. Sinceretiring he has served over 10 years as the Executive Pastor for Administration atFirst Baptist Church of Belton, Texas. Craig is in his third term on the Belton CityCouncil and is serving on numerous advisory boards including the University of Mary Hardin-Baylor College of Business and the Central Texas Area Agency onthe Aging. He has already contributed numerous hours to the planning andorganization of the clinic, serves on the initial board of directors, and willvolunteer at the clinic once it is operational.
(2)
Dr. William (Billy) Ligon is American Board of Family Medicine certified. Herecently opened and is currently serving as the Medical Director of the Scott andWhite Clinic in Salado, Texas. He is also an Assistant Professor of Family andCommunity Medicine in the Texas A&M Health Science Center College of Medicine. Dr. Ligon has already contributed numerous hours over the last 14months researching the feasibility, establishing collaborative links and assisting inthe organization of the clinic. He serves on the initial board of directors andplans to serve as the BOCCC Medical Director and regularly see patients whenthe clinic is operational.
(3)
Julie O'Rear is a Bachelor prepared Registered Nurse licensed in the state of Texas. She has 19 years experience as a nurse that includes patient care,clinical research and administration. She is also the First Lady of the Universityof Mary Hardin-Baylor. Julie has already contributed numerous hours to theplanning and organization of the clinic, serves on the initial board of directors,and will volunteer at the clinic once it is operational.Part V – Compensation and other Financial Arrangements with Your Officers, directors,Trustees, Employees and Independent Contractors#5a - The conflict of interest policy is Appendix 3 of the Body of ChristCommunity Clinic Bylaws adopted by the Board of Directors on August 5, 2009.Part VI – Individuals that Receive Benefits, etc.# 1a – Individuals will receive services from the Body of Christ Community Clinic inthree areas:
(4)
Medical treatment for either acute or chronic health conditions. This will beprovided by a volunteer, licensed physician supported by other volunteer medicalstaff. If a patient requires diagnostic tests or specialty care, it will be provided onsite or referred out to the appropriate medical facility or provider. Patients maybe given a prescription to be filled at a local pharmacy. If this medication is low
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Additional Information – Form 1023Body of Christ Community Clinic, Inc27-0645782
cost, the patient will pay for it. If the drug is more expensive or the patient cannotpay for his medication, the Clinic will have a system for the pharmacy to bill theClinic for medications. Also, the patient may be referred to the Clinic’s socialservices program for enrollment into a Pharmaceutical Assistance Program if thepatient takes medications for an ongoing health condition such as diabetes. Thisprogram provides free medications to patients through application topharmaceutical companies.
(5)
Dental care for extractions, cleanings and sealants will be provided at the Clinicon site by volunteer, licensed dental staff.
(6)
Social services such as eligibility screening for Medicaid, Medicare, StateChildren’s Health Insurance Program and other programs will be provided bytrained volunteers.#2 – Persons eligible for services must have an income at 185 percent of FederalPoverty Level or below and live in the Greater Belton, Texas, area.Part VIII – Specific Activities#4a – Fundraising Programs:
Mail - Letters, brochures and information about the BOCC will be mailed toselected individuals, churches, civic organizations, businesses, foundations andother entities which might provide funds or services to the Clinic.
Email – Information about the Clinic such as an annual report or newsletter maybe sent to individuals and organizations that request contact by email.
Personal – Persons interested in the Clinic and its mission will talk to friends,business acquaintances and family members, informing them about the Clinicand giving them an opportunity to contribute.
Foundation grants – Grants requesting funding from various foundations may bewritten and submitted.
Accept Donations on Your Website – In the future the clinic may acceptdonations solely for the clinic electronically via its website.
Other – The Clinic may conduct fund raising events such as a golf tournament or dinners to raise funds for operations.#4d – States and Local Jurisdictions: All solicitations will be done solely by and for theBody of Christ Community Clinic, Inc, and be done primarily in the State of Texas.However, grant applications may be submitted to foundations located within any of theUnited States of America. Also, if any organizations, family or friends who live inanother state might offer support, we will provide information which will enable them tocontribute.
No solicitations will be done in a foreign country.
 Part IX –Financial Data
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